Frequently Asked Questions
Breadcrumb
About Community Health Workers
Community health worker (CHW) is an umbrella term. Some top job titles of CHWs in Illinois include:
- community health worker
- health promoter or promotor(a)
- outreach worker
- community health educator
- case manager or care coordinator
- peer educator
- community health advocate
Illinois adopted the American Public Health Association’s CHW definition:
“A CHW is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served.
This trusting relationship enables the worker to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery.
A community health worker also builds individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support, and advocacy.”
CHWs share their value by “being at the table.” They talk with other health and social services professionals about what they know, and only they know, because of their insight and knowledge about the community.
CHWs have important roles in many settings. CHWs work in public health departments, health clinics, hospitals, social service agencies, and community-based organizations. They play many of the roles listed below. This is not an exhaustive list, and the roles of CHWs continue to evolve.
Roles of a CHW:
1. Engage in Service Coordination and System Navigation
2. Advocate for and Build Capacity of Individuals and Communities
3. Conduct Outreach
4. Provide Culturally Appropriate Health Education and Information
5. Provide Health Coaching and Social Support
6. Conduct Individual and Community Assessments
7. Serve as Community/Cultural Liaison (or Link) Among Individuals, Communities, and Health and Social Service Systems
8. Participate in Evaluation and Research
To successfully carry out the roles of a CHW, there are certain things the CHW should know and be able to do. These are called core competencies. IDPH-certified CHW training programs are required to include all IDPH-required core competencies in their program.
Illinois CHW Core Competencies:
1. Communication, Interpersonal Skills, and Relationship Building
2. Service Coordination and System Navigation
3. Advocacy and Capacity Building
4. Professional Skills and Conduct, Including Organizational Skills
5. Public Health Knowledge: Use of Public Health Concepts and Approaches
6. Education to Promote Healthy Behavior: Teaching, Presentation, and Facilitation Skills.
7. Human Body Systems and Common Health Conditions, Including Behavioral Health
8. Individual and Community Assessment
9. Cultural Awareness and Responsiveness
10. Application of New Learnings in a Field Setting
[You can find details on the CHW core competencies here.]
IDPH supported the development of a CHW Core Competency Model Curriculum and Assessment Toolkit that meets state requirements. The model curriculum may be used in part or in full by CHW training programs. CHW training programs may use the toolkit to support student assessment of core competencies.
[You can find the CHW Core Competency Model Curriculum and Assessment Toolkit here.]
CHW Certification
Community health workers (CHWs) help build healthier communities. More and more leaders in the health field are understanding the value of CHWs. CHWs help people navigate the health system, communicate better with their health care team, learn how to stay healthy, and get services they need, like housing, food, and transportation. The need for CHWs is growing in Illinois. This job is a great choice for people who are kind and respectful, trusted by community members, work well with others, and are good at solving problems. You do not need college classes to become a certified CHW.
No. CHW certification in Illinois is voluntary. CHWs can work in Illinois without being certified. However, certification is required in Illinois for CHW services to be paid for by Medicaid and Medicare.
Certification is an important step in growing your career as a CHW. It builds your credibility as a health professional. Certification is also needed for Medicaid and Medicare to pay for your services. These payments can help make your job more stable.
You may complete an application if you:
- live or work in Illinois, or work for an organization enrolled in Illinois Medicaid,
- are at least 17 years old, and
- meet the requirements of one of the certification pathways.
No. Illinois does not have a statewide test for CHW certification. Instead, IDPH-certified CHW training programs will assess student competencies during the training program.
Right now, there are no fees to apply for CHW certification. If you choose the Certified Training Program Pathway, the program may charge a fee, but some programs are free. To renew your certification, you need to take continuing education courses. Some of these courses may have a fee.
The Certified Training Program Registry is a database of IDPH-certified CHW training programs and apprenticeships in Illinois. [You can find the Certified Training Program Registry here.] You can use this database to search by location and determine if a program is in person, online, or both. For more details about a training program, contact them directly.
To apply for CHW certification, follow the steps below.
Steps
- Create an account. (You can find steps to create an account here.]
- Choose the pathway that is right for you.
- Complete the application.
- You will need to upload the required documents.
- You can start an application and return to it once your documents are ready to upload.
- Submit the application.
All CHW applications ask the applicant to disclose felony convictions. If an applicant discloses a felony conviction, they can provide information to support their application, such as a letter attesting to their character.
IDPH will request that applicants who disclose a felony conviction get their fingerprints taken. IDPH will cover all costs for fingerprints and the background check report.
A felony conviction does not necessarily mean that the applicant will be denied certification. IDPH will only consider Class X, 1, or 2 felonies and the degree to which the criminal history suggests a risk to clients. Many factors are considered in making this decision, such as the length of time since the conviction. A list of factors considered are in Administrative Code, Section 951.260 (b) [Link to Admin Rules background check section].
If IDPH decides to deny or take away a CHW certification, the applicant will be able to appeal the decision. IDPH will provide information on how to request a hearing.
Failure to disclose a felony conviction on an application is grounds for certification denial or revocation.
After you submit your application, IDPH will send you an email to confirm it was received. If more information is needed, IDPH will contact you by email. Once your application is complete, IDPH will review it and contact you by email within 60 calendar days to let you know if it is approved.
Use your personal email address in the application. If you are not receiving emails from the IL CHW Certification Program, check your spam or junk mail folder.
Yes. Once IDPH has approved your application, a certificate will be available in your account. You can download and print the certificate.
Your name will be included in the CHW Registry along with your certification date and expiration date.
When your certification is active, you may use the Illinois CHW credential, IL CHW-C. This is short for State of Illinois Community Health Worker - Certified. You can include the credential after your name, like this: Althea Jones, IL CHW-C. You may not use the credential when your certification is not active. For example, if you did not renew your certification in time.
Your CHW certification is good for three years from the certification date. To make sure you stay certified, IDPH will send you reminder emails to renew your certification. The emails will include steps on how to renew.
Use your personal email address in your application. If you are not receiving emails from the IL CHW Certification Program, check your spam or junk mail folder.
Certification Pathways
There are currently four pathways to CHW certification.
- Work Experience Pathway
- IDPH-certified CHW Training Program Pathway
- CHW Training Program Equivalence Pathway
- Reciprocity Pathway
Details about each pathway is located here.
- This pathway is for CHWs who can show they have worked or volunteered at least 2,500 hours as a CHW in the past five years.
- These hours can be spread out over the five years.
- CHWs can combine hours from more than one job to meet the 2,500-hour requirement.
- If you successfully completed a CHW basic training, you may count these training hours toward the 2,500-hour requirement.
- This pathway will end on [date] which is 10 years after the formal start of the CHW Certification Program. After that date, the applicant will need to take another path to certification.
- This pathway does NOT require a high school diploma or GED.
More information about this pathway is available here.
- The CHW must document the successful completion of an IDPH-certified CHW training program within the last five years.
- These training programs have at least 100 hours of classroom training and at least 80 hours of supervised field experience.
- A searchable database of IDPH-certified CHW training programs is available in the Training Program Registry here.
- This pathway requires a high school diploma or GED.
More information about this pathway is available here.
- This pathway is for individuals who have successfully completed a CHW basic training after January 1, 2022.
- The training must meet the following criteria to be considered:
- The course must have had at least a total of 80 classroom instruction hours.
- The course must have had a field experience of at least 80 hours – or – the individual completed at least 80 hours of supervised CHW work experience.
- This pathway will end on [date] which is two years after the formal start of the CHW Certification Program. After that date, the applicant will need to take another path to certification.
- This pathway requires a high school diploma or GED.
More information about this pathway is available here.
- This pathway is for individuals who have received a state CHW certification from another state in the United States that is deemed equivalent by IDPH.
- If IDPH deems that the CHW certification from the other state does not meet the same standards as Illinois, the applicant must take another pathway to certification.
More information about this and other pathways is available here.
CHW Certification Renewal
Yes. You must complete 36 contact hours of continuing education every three years to maintain your certification.
Continuing education hours count if they are earned in these categories:
Category I - Accredited Continuing Education Courses and College Courses
At least 24 of the required 36 credits during each three-year renewal period MUST be from Category I. For these courses to count toward renewal, they must provide IDPH-approved continuing education units (CEUs) and match up with one or more CHW core competencies.
Category II - Other Professional Development
Credit in this category is optional; however, you can earn up to 12 credits in this area during the renewal period. For these courses and activities to count toward renewal, they must match up with one or more CHW core competencies.
Category I credit is counted like this:
- The accrediting body awards each accredited continuing education course a certain number of credits. This is the number of credits IDPH will count for each course. For example, a two-hour course will likely have two credits (or CEUs) listed on the course certificate.
- Each college course has a set number of credits offered by the college. A college course with 15 hours of class time equals 15 continuing education credits. For example:
- a one-credit college course equals 15 continuing education credits,
- a two-credit college course equals 30 continuing education credits, and
- a three-credit college course equals 45 continuing education credits.
Category II credit is counted like this:
- Participating in a non-accredited course or education activity (1 credit per hour of instruction).
- Serving as a CHW instructor in an IDPH-certified CHW training program, a multi-session course, or a CHW supervisor for field experience placement (4 credits per course and/or preceptorship).
- Authoring or co-authoring a CHW-related research publication (3 credits per article).
- Serving as an invited session presenter or poster session at a conference, or facilitating a one-session course or workshop (2 credits per presentation).
- Serving in a leadership position for a CHW organization (2 credits per organization per year).
- Serving on a CHW-related volunteer board or committee (2 credits per board or committee per year).
You can enter the credits you have earned into your online account. When you get proof of completing a course, like a certificate, upload it to your profile right away. This will make it easier to renew your certification toward the end of your three-year certification term.
We suggest you plan to earn at least 12 continuing education credits each year. This will help you reach the 36 credits needed by the end of the three-year term.
You may submit your renewal application as early as 180 days (six months) before your certification expires. All renewal information is due at least 90 days (three months) before your certification expires. If you submit a late renewal application, IDPH cannot guarantee that your certification will be renewed in time. (You can find more information on lapsed CHW certification and reinstatement here.)
IDPH will send emails to remind you when it is time to renew.
Use your personal email address in your application. If you are not receiving emails from the IL CHW Certification Program, check your spam or junk mail folder.
To renew your certification, follow these steps:
- Go to your account (login information...)
- Record the required number of continuing education credits. (You can start this process any time and go back and add to it.)
- Attach the required documents.
Submit the renewal request.
After you submit your renewal application, IDPH will email you to confirm it was received. If IDPH needs more information, you will be contacted by email. Once your application is complete, IDPH will review your renewal application and contact you by email to let you know if it is approved.
Use your personal email address in your application. If you are not receiving emails from the IL CHW Certification Program, check your spam or junk mail folder.
Yes. Once IDPH has approved your renewal application, you can go into your account and download and print your new certificate. This certificate will be good for another three years.
To help you renew your certification on time, IDPH will send email reminders about continuing education. We suggest you keep track of your education hours and upload proof that you completed the course after you finish each course or professional development activity.
Complete your renewal at least 90 days before your certification expires. This will give IDPH time to check your continuing education, gather any extra information, and provide you with time to take an additional course if you need more credits.
If you do not submit all the needed documents at least 90 days before your certification expires, your certification may not be renewed on time. If you do not renew on time, your certification may lapse.
Information for CHW Employers
Community health workers (CHWs) are employed in many different environments. According to a 2024 survey of Illinois CHWs, they work in community-based organizations, health systems, hospitals, and clinics, including those with medical and dental services. CHWs also work in behavioral health organizations, academic institutions, social service organizations, independent medical practices, health plans, and faith-based organizations.
The Centers for Disease Control and Prevention (CDC) created a general framework to help public health professionals integrate CHWs into health care and related settings. You can find the CDC's "Community Health Worker (CHW) Inclusion Checklist" here. [And/or refer to IDPH-funded CHW Campaign TA resources on integration when available.]
Illinois organizations that offer support and resources to employers on CHW integration are listed under the Resources Section. You can find key organizations here.
The CHW Registry is a searchable database of certified CHWs in Illinois. The CHW Registry allows employers to verify the certification status of prospective or current CHW employees. It also allows the Medicaid program to verify current certification status for reimbursement for CHW services. You can find the CHW Registry here.
Medicaid and Medicare reimbursement is available only for CHWs whose certification is active on the dates of service.
Initial Training Program Application, Review, and Certification
The certification process is nearly identical.. The instructional partner for the apprenticeship program will complete a similar application to other training programs. . If the instructional program is already an IDPH-certified CHW training program, they will complete a streamlined application. The training program applicant must include completion of a form from the apprenticeship sponsor describing the work experience offered by participating employers.
Applications will be checked to ensure they are complete and meet program requirements. If they are not complete, IDPH will ask for further information. IDPH or its representative will conduct an initial on-site or virtual visit to verify information in the application. Certification decisions will be made within 90 days of receiving a complete application.
If you are not receiving emails from the IL CHW Certification Program, check your spam or junk mail folder.
Yes. Once your application has been approved by IDPH, a downloadable and printable certificate will be available in your account. Once approved, all IDPH-certified CHW training programs will be included in the Certified CHW Training Program Registry.
The training program certification will be valid for three years from the date of issuance.
The training program sponsor must report any substantive changes to their IDPH-certified CHW training program by updating their online profile within 30 days of the change. This includes changes to personnel, contact information, curriculum, assessments, or other important changes. IDPH will review all changes.
Key Requirements for Training Program Certification
Program Administrator. The training program must assign a program administrator responsible for:
- assuring that the program establishes written policies consistent with Administrative Rule Section 951.410 Program Administrator (Link),
- assuring the policies of the program are implemented as written, and
- assuring the curriculum is taught by instructors who meet the requirements set forth by IDPH specified in Administrative Rule Section 951.710 Instructor Qualifications (Link).
Program Lead. The training program must assign a program lead (typically referred to as a program coordinator or lead instructor) responsible for:
- planning, implementing, evaluating, and coordinating the program;
- completing, verifying, and submitting accurate documentation;
- functioning as the primary contact in communication with IDPH;
- formulating, implementing, and communicating corrective measures as required; and
- notifying IDPH of substantive changes to the application, e.g., contact information, curriculum changes, and new instructors. You can find details on this role in Administrative Rule Section 951.40 Program Lead (Link).
Before submitting the training program application, the program lead must pass an IDPH-approved CHW instructor course. This course is completed online, is self-paced, and is a total of approximately 20 hours.
Qualified Instructors. The training program must have qualified instructors who meet the requirements listed in Administrative Rule Section 951.710 Instructor Qualifications (Link).
Requirements for instructors teaching in four-year colleges or universities, community colleges, and high schools are established in the state administrative code for general education (GE) and career and technical education (CTE). Requirements for instructors teaching in community-based organizations are detailed in the link above.
All instructors, regardless of education or experience, must pass an IDPH-approved CHW Instructor Course within 90 days of committing to teach in an IDPH-certified CHW training program. This course is virtual (asynchronous), self-paced, and is a total of approximately 20 hours.
The CHW curriculum must include all IDPH required core competencies, including field experience and a minimum number of hours of instruction.
CHW core competencies. To successfully carry out the roles of a CHW, there are certain things the CHW should know and be able to do. These are called core competencies. Certified CHW training programs must include all IDPH-required core competencies in their program.
Illinois CHW core competencies:
1. Communication, Interpersonal Skills, and Relationship Building
2. Service Coordination and System Navigation
3. Advocacy and Capacity Building
4. Professional Skills and Conduct, Including Organizational Skills
5. Public Health Knowledge: Use of Public Health Concepts and Approaches
6. Education to Promote Healthy Behavior: Teaching, Presentation, and Facilitation Skills
7. Human Body Systems and Common Health Conditions, Including Behavioral Health
8. Individual and Community Assessment
9. Cultural Awareness and Responsiveness
10. Application of New Learnings in a Field Setting
[You can find details on the CHW core competencies here.]
IDPH supported the development of a CHW core competency model curriculum that meets all state requirements. This curriculum may be used in part or in full by training programs or as self-study materials by CHWs. You can find the CHW Core Competency Model Curriculum and Assessment Toolkit here.
Minimum hours of instruction. Training programs must offer a minimum of 100 hours of classroom instruction, which can be in-person or virtual. No more than 70% of the classroom instruction can be asynchronous. Time spent on breaks, meals, and any orientation to the program will not be counted toward the 100 hours. Each competency #1-9 must have a minimum of five hours dedicated. The remaining hours may be allotted as the training program deems appropriate.
Field experience. Competency #10 is the Application of New Learnings in a Field Setting. Students must complete a field placement of at least 80 hours, which may be paid or unpaid. The training program sponsor is responsible for overseeing the field experience. You can find detailed requirements on field experience and field experience provider requirements in Administrative Rules Section 951.480 Field Experience here.
Lapsed CHW Certification and Reinstatement
If you do not submit your renewal application at least 90 days before your three-year certification term ends, your certification could lapse. This means your certification is no longer valid.
When a certification lapses, you cannot say you are a certified community health worker. You may not use the credential (IL CHW-C) after your name. Any CHW services you provide when you are not certified will not be paid by Medicaid or Medicare.
You can apply to get your certification back.
If your certification expires, you can apply to get your certification back. This is called reinstatement.
To reinstate, you must update your application with any new information. You will also need to complete either 12 continuing education hours or the number of hours you did not complete during the last three-year renewal period, whichever is more. If you need to take 12 credits to reinstate, at least 8 of the 12 credits need to be Category 1 credits.
To reinstate your certification, follow these steps:
- Go to your account (login information).
- Record the required number of continuing education credits for reinstatement. (You can start this process any time and go back and add to it.)
- Attach the required documents.
- Submit the reinstatement request.
After you submit your reinstatement application, IDPH will send an email to confirm it was received. If more information is needed, IDPH will contact you by email. Once complete, IDPH will review your application and contact you by email within -60 calendar days to let you know if it is approved.
Use your personal email address in your application. If you are not receiving emails from the IL CHW Certification Program, check your spam or junk mail folder.
Yes. Once IDPH has approved your reinstatement application, you can access your account to download and print a new certificate. This certificate will be good for another three years.
Reinstatement of a Lapsed Training Program Certification
Certification will lapse if the training program does not recertify. This may be because the training program decided to discontinue the program for a time or because they failed to renew in time.
To reinstate a lapsed training program certification, the training program must complete and submit the training program reinstatement application.
Steps
- Complete the training program reinstatement application.
- Upload any required documents.
- Submit the request.
IDPH will reinstate or deny reinstatement of a training program application within 90 days of receiving a complete application.
If you are not receiving emails from the IL CHW Certification Program, check your spam or junk mail folder.
Required Courses and Continuing Education
Yes. Before getting certified, candidates using the work experience pathway must complete the IDPH-approved CHW Refresher Course. This 20-hour, online, self-paced class helps refresh knowledge of the CHW core competencies. The course is not graded.
If you are applying for certification through the Work Experience Pathway, you must complete this course before submitting your initial CHW application.
The IDPH-approved CHW Refresher Course is accredited for continuing education. The credits you earn from this course will count toward your first three-year renewal. This course will give you 20 Category I credits. You can find the IDPH-approved CHW Refresher Course here.
Note: CHWs who have completed an IDPH-certified CHW training program will not be awarded credit for the IDPH-approved CHW Refresher Course if they choose to take it. This course summarizes what is taught in IDPH-certified CHW training programs.
Yes.
The program lead for IDPH-certified CHW training programs (the staff who plans, implements, and evaluates the training program) must pass the IDPH-approved CHW Instructor Course before the training program submits its initial application for certification. Other instructors must pass the course within 90 days after their first day of teaching in an IDPH-certified CHW training program.
This 20-hour, online, self-paced course introduces the CHW Certification Program, refreshes the instructor in how best to teach CHW core competencies, and provides strategies for teaching students with lived experience. Program leads and other instructors must complete the course with at least an 80% score for each module.
This course is approved by the Weitzman Institute for 20 continuing education contact hours. You can find the IDPH-approved CHW Instructor Course here.
Important Note: IDPH does not require instructors to take ongoing continuing education after passing the IDPH-approved CHW Instructor Course. However, instructors who are also certified CHWs (IL CHW-C) must take continuing education credits to renew their CHW certification.
- If the instructor is also a certified CHW and passes the full IDPH-approved CHW Instructor Course, they will earn 20 Category I credits toward continuing education requirements for the current three-year renewal period.
Yes. If you are a certified CHW, you must renew your certification every three years. To renew, you must complete 36 continuing education credits during each three-year renewal period.
More information about certification renewal is available here.
IDPH compiled a resource list of organizations offering accredited or other courses. Many of the courses these organizations offer match up with CHW core competencies. You can find the list of organizations and links to their courses here.
If your organization offers accredited courses or other professional development opportunities that support CHW core competency development, and you want to be added to the resource list, fill out the request form here.
Organizations or schools that offer accredited courses must provide documentation in the form of a certificate or letter to CHWs who complete the course. Certified CHWs must upload proof of course completion indicating the number of credits earned.
Training Program Certification: Background and Eligibility
The state and many health and related organizations in Illinois are working to address health disparities by funding and employing individuals from underserved communities to bridge the gap between communities and health and human service systems. The demand for a strong CHW workforce is expected to grow, creating an exciting new training opportunity for your organization.
The main pathway to CHW certification is the IDPH-Certification Training Program Pathway. This pathway requires applicants to successfully complete an IDPH-certified CHW training program to be eligible for certification.
Both school- and community-based CHW core competency training programs that meet IDPH requirements are eligible to be certified. We encourage training programs to become certified, so their graduates are eligible for CHW certification through the IDPH-certified CHW Training Program Pathway. In Illinois, CHW certification is required for CHW services to be paid for by Medicaid and Medicare.
IDPH certification for CHW training programs is not required. However, completing an IDPH-certified CHW training program is the main pathway for CHWs to earn voluntary certification.
Currently, there is no application fee for the initial training program certification or renewal of certification. The main cost is the time to adapt your program to meet certification requirements, communicate with IDPH, and maintain an updated online profile.
CHW training programs that may apply for certification include academic and community-based programs individually, or in association with an apprenticeship program.
Academic training program sponsors include:
- not-for-profit four-year colleges or universities,
- community colleges, and
- public high schools.
Community-based training program sponsors include:
- public health departments,
- health care or social services providers,
- related associations,
- managed care organizations/health plans,
- community-based organizations, and
- faith-based organizations.
Yes. A community-based organization, for example, can partner with an IDPH-certified CHW training program sponsor, like a community college, to offer community-oriented parts of the training and/or field experience without being a sponsor. To ensure this training counts toward certification requirements, the community organization must sign a memorandum of understanding (MOU) with the sponsor. The sponsor will review the training to determine how much credit to apply toward the program, following rules on credit for prior learning.
Training Program Renewal
IDPH will require a brief annual update so that IDPH can ensure the training program’s information remains current. IDPH will also conduct an on-site monitoring visit at least every two years to confirm that the program meets all requirements.
To renew the training program certification, IDPH will send reminder emails to the program administrator and program lead to complete annual updates. The purpose of the annual update is to confirm that all changes for the year have been reported and that the program plans to continue operating the following year.
Training program sponsors will request certification renewal during their final annual update of the three-year certification period. IDPH will renew certification if the program continues to meet state requirements.
Steps
- Complete the IDPH-certified CHW Training Program annual updates online.
- Upload any required documents.
- In the final annual update of the three-year certification period, request certification renewal.
- Submit annual update and renewal request.
After you submit the third annual update in the three-year certification period, IDPH will email you to confirm the update was successfully submitted. If IDPH needs more information, it will contact the program lead and program administrator by email. Once IDPH has received the completed update and request for renewal, it will notify you of approval by email within 90 days.
If you are not receiving emails from the IL CHW Certification Program, check your spam or junk mail folder.
When a CHW Training Program Does Not Meet Requirements
If IDPH finds that a proposed program is not eligible to apply or does not meet IDPH program requirements, it will notify the sponsor by email about the denial. The notice will explain the reasons for the denial and inform the sponsor whether they can resubmit an application with required changes or revisions.
IDPH may find that an IDPH-certified CHW training program no longer meets state certification requirements during a routine visit, a review of an annual update, investigation of a complaint, or if required information is not submitted. IDPH will notify the point of contact by email about findings of non-compliance and explain the reasons for the finding.
The training program will have 10 business days to submit a written improvement plan that includes goals, strategies, and completion dates to address findings.
Continued non-compliance may result in probation or suspension. To learn more about the terms of probation and suspension, refer to Administrative Rules Section 951.500 Probation and Suspension of Program.